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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E. Hazelton Ave • Stockton, CA 952056232 • Phone (209) 468-3420 <br />Jasjit Kang, R.E.H.S., Director <br />ENVIRONMENTAL HEALTH <br />PERMIT TO OPERATE - PE 4120 -BODY ART FACII.ITY--SINGLE USE <br />Permit ID # PT0025508 for Record ID # PR0541621 <br />Valid From 7/1/2022 To 6/30/2023 <br />PERMIT TO OPERATE - PE 4110 - BODY ART PRACTITIONER REGISTRATION <br />Permit ID # PT0025509 for Record ID # PR0541622 <br />Valid From 7/1/2022 To 6/30/2023 <br />PERMITS TO OPERATE aze NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: <br />GREEN-FRESE, ERICA <br />DBA: VERSAILLES SALON <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: VERSAILLES SALON (GREEN-FRESE, ERICA) Facility iD FA0023856 <br />1010 CENTRAL AVE Accountl <br />D AR0044221 <br />TRACY CA 95376 sued 5/10/2022 <br />BillingAddress: <br />ATTN : GREEN-FRESE, ERICA <br />VERSAILLES SALON (GREEN-FRESE, ERICA) <br />1937 WILLIAM MOSS BLVD <br />STOCKTON CA 95206--602 <br />7027.rpt End of Report <br />